Petersen Companies, LLC
NPI #1346491503 in Charleston, Illinois
Provider Information
- NPI Number
- 1346491503
- Entity Type
- Organization
- Organization Name
- Petersen Companies, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 7, 2008
- Last Updated
- Oct 7, 2008
Practice Location
- Address
- 716 18TH ST
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-2382
- Phone
- (217) 345-7054
Authorized Official
- Name
- MARK PETERSEN
- Title
- MANAGER
- Phone
- (309) 691-8113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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